目的比较齐拉西酮和奋乃静治疗老年精神分裂症的疗效和安全性。方法将72例老年精神分裂症患者随机分为2组,分别给予齐拉西酮和奋乃静治疗8周。采用阳性与阴性症状量表(PANSS)评定疗效,副反应量表(TESS)评定不良反应。结果治疗8周后,齐拉西酮组与奋乃静组疗效比较差异无统计学意义(P>0.05),齐拉西酮组不良反应程度、发生率均少而轻。结论齐拉西酮治疗老年精神分裂症患者疗效好,不良反应相对较小。
ObjectiveTo compare clinical efficacy and safety between ziprasidone and perphenazine in the treatment of elderly schizophrenia.Methods72 cases of elderly patients with schizophrenia were randomly divided into ziprasidone group and perphenazine group for 8 weeks.Positive and Negative Syndrome Scale (PANSS) was used to assess the efficacy,side effects scale (TESS) was used to assess adverse reactions.ResultsAfter 8 weeks,effective rate of ziprasidone group was 69.44%,with a total effective rate was 88.89%;perphenazine group were 63.89% and 86.11%,respectively,no statistical difference in therapeutic effect (P>0.05).However,compared to perphenazine group,adverse reactions of ziprasidone group were much smaller and lighter.ConclusionZiprasidone in treatment of elderly schizophrenia is of good efficacy and relatively small adverse reactions.